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Updated: Sep 19, 2025

Mechanism of Kemeng Fang's Inhibition of Podocyte Apoptosis in Rats with Membranous Nephropathy through the PI3K/AKT Signaling Pathway
Published on: August 23, 2024
Modulation of podocyte extracellular matrix remodeling in membranous nephropathy by the NFATc3/LRRC55/BK channel
Yaling Guo1,2, Jingliang Min3, Baochao Chang2
1Department of Nephrology The First Affiliated Hospital of Jinan University Guangzhou Guangdong China.
Abstract:
Membranous nephropathy (MN) is a common glomerular disease characterized by podocyte injury. Although previous studies highlighted the leucine-rich repeat-containing 55/big potassium (LRRC55/BK) channel axis in Ang II-induced apoptosis, our study further investigates the upstream regulation by nuclear factor of activated T-cells 3 (NFATc3) and its role in extracellular matrix (ECM) remodeling. Using an Ang II-induced podocyte injury model, we found that NFATc3 overexpression promoted LRRC55 transcription, increased BK channel activity, and elevated intracellular calcium, thereby exacerbating podocyte apoptosis and impairing migration. RNA-seq and functional assays revealed significant upregulation of ECM-related genes, with enhanced fibronectin and collagen I deposition. Patch-clamp experiments confirmed BK channel activation was LRRC55-dependent. In vivo, NFATc3 knockdown attenuated renal injury, restored podocyte markers (nephrin, WT1, synaptopodin), and alleviated proteinuria and fibrosis, whereas LRRC55 overexpression or BK agonist NS1619 reversed these effects. These findings reveal that NFATc3 aggravates Ang II-induced podocyte injury through transcriptional regulation of LRRC55 and activation of the BK channel, contributing to ECM remodeling and glomerular dysfunction. Our results offer mechanistic insight into MN progression and suggest the NFATc3/LRRC55/BK axis as a potential therapeutic target.
Insights
Nuclear factor of activated T-cells 3 (NFATc3) worsens membranous nephropathy by regulating the LRRC55/BK channel, increasing podocyte injury and extracellular matrix remodeling. Targeting this axis may offer new therapeutic strategies for kidney disease.
Area of Science:
- Nephrology
- Molecular Biology
- Cell Biology
Background:
- Membranous nephropathy (MN) is a leading cause of nephrotic syndrome.
- Podocyte injury is central to MN pathogenesis.
- The LRRC55/BK channel axis is implicated in Ang II-induced podocyte apoptosis.
Purpose of the Study:
- Investigate the upstream regulation of the LRRC55/BK channel by NFATc3.
- Elucidate the role of NFATc3 in Ang II-induced podocyte injury and ECM remodeling.
- Explore the NFATc3/LRRC55/BK axis as a potential therapeutic target in MN.
Main Methods:
- Ang II-induced podocyte injury model in vitro.
- NFATc3 overexpression and knockdown studies.
- RNA sequencing (RNA-seq) for gene expression analysis.
- Patch-clamp electrophysiology to assess BK channel activity.
- In vivo studies using mouse models of MN.
Main Results:
- NFATc3 overexpression increased LRRC55 transcription, BK channel activity, and intracellular calcium, worsening podocyte apoptosis and impairing migration.
- Significant upregulation of ECM genes, including fibronectin and collagen I, was observed.
- NFATc3 knockdown attenuated renal injury, proteinuria, and fibrosis in vivo.
- LRRC55 overexpression or BK channel activation exacerbated podocyte injury and MN progression.
Conclusions:
- NFATc3 aggravates Ang II-induced podocyte injury via transcriptional regulation of LRRC55 and BK channel activation.
- This pathway contributes to ECM remodeling and glomerular dysfunction in MN.
- The NFATc3/LRRC55/BK axis represents a promising therapeutic target for MN treatment.
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